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CITY OF SAN DIMAS COMMUNITY SERVICE OPPORTUNITY (City of San Dimas)

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CITY OF SAN DIMAS
COMMUNITY SERVICE OPPORTUNITY
245 E. Bonita Avenue San Dimas, CA 91773-3002 909/394-6210
PLEASE USE BLACK INK OR TYPE
Please check appropriate Commission, Committee, or Board:
Development Planning
◘
Parks & Recreation Commission
◘
Review Board (DPRB) (Youth)
◘
Equestrian Commission
◘
Planning Commission
◘
Golf Course Committee
◘
Public Safety Commission
◘
Senior Citizens Commission
◘
1. PERSONAL DATA Please Circle: Mr. Miss. Ms. Mrs.
Name (Last, first, middle): e-mail:
Home Telephone: Business Telephone: Cell:
Home Address (number and street)
City & Zip How long have you lived in San Dimas?
2. WORK EXPERIENCE
Describe your duties:
3. EDUCATION & TRAINING
Please comment on education and training as it may relate to your application for community service:
4. ADDITIONAL INFORMATION
Use the space to provide additional information as required by this application or to describe in greater detail
any aspects of your experience or activities that are pertinent.
2
5. REFERENCES
1. Name: Telephone Number:
Address: City:
2. Name: Telephone Number:
Address: City:
3. Name: Telephone Number:
Address: City:
6. COMMUNITY ACTIVITIES
List current activities and work back to when you first moved to San Dimas. Include all special projects and
positions held in organizations, e.g., Pres., Sec., Treas., etc.
1. Name of Organization: How long with this organization?
Offices held:
Describe your responsibilities and accomplishments:
2. Name of Organization: How long with this organization?
Offices held:
3. Name of Organization: How long with this organization?
Offices held:
Describe your responsibilities and accomplishments:
3
7. ESSAY (Please use additional sheets of paper if necessary.)
1. Why did you move to San Dimas?
2. If you could change anything in the City, what would it be?
3. What can you contribute to and why are you interested in serving on the Commission(s) designated?
*This application qualifies as a public record and all information furnished will be treated as a
public record. (Vital data will be redacted)
Date _________________ Signature____________________________
03/2016
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4
Application Process
How to apply for an office on a City of San Dimas Board, Commission or Committee:
1. Those interested in applying for appointment to a board, commission or committee may obtain an Application for
Community Service Opportunity form from the office of the City Clerk, 245 E. Bonita Ave, San Dimas, or
download from the city’s website: http://www.cityofsandimas.com
.
2. Completed applications must be submitted prior to the advertised deadline.
3. All requested information must be furnished on the application. Resumes, attachments and other supporting
documentation may be included but cannot be substituted for an application form.
4. Applications will be kept on file for two years. It is the applicants’ responsibility to ensure their application is
current and updated prior to each recruitment.
Eligibility
1. Applicants must be meet all requirements of the board, commission and committee they are applying for at the
time their application is submitted as well as during their entire term of service.
2. Applicants must be residents of the City of San Dimas.
3. Applicants shall be considered ineligible to serve on a city board, commission or committee that serve a
particular city department if the candidate’s relative (as defined by City of San Dimas Commissioner’s Handbook)
is employed by the city in the same department.
Disclosure and Regulatory Requirements and Non-Compliance
Conflict of Interest Disclosure
In compliance with state law, appointed officials may be required to file a statement of Economic Interests upon
appointment to office, and annually thereafter. If appointed you may be required to make information available as to any
potential conflict of interest arising from any business/affiliations where that affiliation or business may be doing business
with the City of San Dimas, or any decisions taken by the City of San Dimas that may influence that business or affiliation.
Mandatory Ethics and Training (Government Code §53234 et seq.)
Following California State Law, all appointments, past, present, and future to a board, commission or committee where
compensation, stipend or salary is provided will be required to complete the B1234 Ethics Training. AB1234 requires 2
hours of ethics training within one year of appointment and is valid for two years.
Brown Act (Government Code §54590 et. Seq.)
The referenced boards, commissions, and committees are subject to the Brown Act and must maintain “substantial
compliance” with the Brown Acts various provisions.
Public Records Act (Government Code §6250-6276.48)
This application qualifies as a public record and all information furnished on the application itself and any
supporting documents attached hereto will be treated as a public record.
Non-Compliance with Requirements
City of San Dimas board, commission or committee members not in compliance with the required state law
disclosure requirements can be suspended from participating in meetings until compliance is re-established.
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CITY OF SAN DIMAS COMMUNITY SERVICE OPPORTUNITY (City of San Dimas)

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Completed 16 July 2020

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